Reporting Analyst – Dental Provider Networks
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Job Description
Provider Network Analyst responsible for recruitment data analysis and network performance reporting. Collaborating with cross-functional teams to support provider network operations and strategic objectives.
Responsibilities:
- Design algorithms and query logic to create data sets based on end user requirements
- Build disruption lists by comparing datasets and identifying target opportunities for recruiting
- Create geographical access reports using Quest to demonstrate coverage adequacy
- Present insightful summaries with recommendations that include key themes, trends, and results to internal and external stakeholders
- Coordinate, publish and maintain weekly/monthly report schedules
- Analyze provider network and utilization by members; responsible for producing reports to ensure enterprise is compliant with ACA and other regulatory agencies, as well as client network adequacy and access requirements
- Complete quarterly and annual GEO Access reporting requirements for internal and external clients, as well as ad hoc reporting
- Develop network recruiting recommendations for leased network partners in order to maintain optimal network strength
- Be source of truth for provider network questions (e.g., annual network size; ad hoc requests for network strength/size; comparison of Dominion network to competitors, etc.)
- Coordinator of all network reporting requirements
- Design and run quality assurance reports to ensure the integrity of networks within proprietary platform
- Ensure that all business deadlines are met according to published Action Plans
- Develop visualizations and tracking dashboards that provide real-time insights into provider network performance and growth
- Support provider network deliverables across markets by managing and analyzing provider data to support the organization's network operations and strategic objectives
- Ensure data integrity, supports provider recruitment and payer requirements, and contributes to cross-functional projects that enhance network processes and performance
- Complete other tasks assigned by manager related to reporting/data in the IS Operations framework.
Requirements:
- 2 - 5 years of experience as an analyst
- Proficient in data management and analysis tools (Excel, Access, T-SQL, Power BI), data visualization, and Microsoft Office
- Experience with Salesforce, Quest Analytics, GEO Access/disruption reports, and Net360 (or similar) preferred
- Strong analytical skills and attention to detail; ability to develop and interpret complex data and communicate insights
- Experience creating compelling presentations of key findings from an analysis, eg trends, gaps, growth projections, etc. that inform network performance and strategic decisions
- Experience building visualizations and tracking dashboards to provide real-time insights into provider network performance and growth
- Excellent verbal, written communication, and presentation skills.
Benefits:
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off, Holidays, and Volunteer time off
- Incentive Plan
- Tuition Reimbursement
- more
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